STAYING FIT Beacon Of Hope Maximize Fitness Ball L Grant enables health coalition to raise quality of healthcare. Advancing Quality Health Care Through 1.T. & Collaboration Southeast Michigan Beacon Community Collaborative Nancy Schlichting of Bloomfield Hills, president and CEO, Henry Ford Health System; David Blumenthal, M.D., of Boston; and Robert Jackson of Allen Park, M.D., chair, Southeast Michigan Health Information Exchange, take questions at the end of a press conference. T he Southeastern Michigan Health Association has been awarded $16.2 million from the U.S. Department of Health and Human Services to participate in the national Beacon Community Cooperative Agreement Program. National Coordinator for Health Information Technology David Blumenthal, M.D., made the announcement recently at Henry Ford Health System corporate offices in Detroit. Beacon is one of several new pro- grams created by the Health Information Technology Economic and Clinical Health Act, as part of the American Recovery and Reinvestment Act of 2009. The Beacon communities program will use health IT resources as a foundation for bring- ing doctors, hospitals, community health programs, federal programs and patients together to improve quality, safety and efficiency. Each Beacon community sets goals for improvement in three healthcare areas: quality, cost-efficiency and population health. The $16.2 million award will be used to create the Southeast Michigan Beacon Community Collaborative and develop an innovative health IT pilot program in Metro Detroit to improve informa- tion sharing and continuity of care for underserved patients with chronic dia- betes in Detroit, Hamtramck, Highland Park, Dearborn and Dearborn Heights. According to SEMBCC, diabetes is preva- lent in this target population, affecting more than 12 percent of adults, or 93,000 people. The initiative will link primary care providers and hospital emergency rooms to improve patient self-management of diabetes and reduce avoidable hospital- izations and emergency room use. A net- work of patient navigators will be estab- lished, providing access to the patients' health histories and provide an online tracking system to manage patient care. In 2006, diabetes was the sixth leading cause of death in Michigan; 2009 data indicates diabetes in 23 percent of all Detroit hospital discharges. Work will begin this fall on the three- year program. The SEMBCC is a diverse, 60-mem- ber consortium, led by the Southeast Michigan Health Information Exchange. Its membership includes six major health systems (Beaumont Hospitals, Detroit Medical Center, Henry Ford Health System, Oakwood Healthcare System, St. John Providence Health System and Trinity Health), employers, physicians, healthcare professional associations, and other organizations. ❑ et's face it. No one really likes to exercise. OK, there are those rare few who love it, but we hate those guys! For the rest of us, finding something inter- esting, productive and fun can be a real chal- lenge. But have no fear: There is hope. I have your answer. Try a fit ball! These are the larger exercise balls that you can sit on and use for standing or floor exercises. Regardless of your fitness level, a fit ball is an excellent tool to increase your range of motion, flexibility and strength. Even beginners pick up the basics in no time. It is a great confidence builder when getting start- ed or re-started in a regular exercise regimen. For mid- level exercisers, the ball will be a surprisingly chal- lenging workout. For the advanced crowd, the ball can take you up a notch in basic exercises like push-ups, squats, planking and crunches. I know what you men are think- ing: "She's not talking to me! This is a girl thing." Absolutely not. The ball is an excellent tool for everyone. It may be the best tool for working your abs, back and obliques (twister muscles). Since we all have those, why not try it? It is time to pull your ball out of the basement. Come on; you know you have one. Remember, it's in the box next to the Pilates stuff you bought off TV last year and the Thigh Master from 1985! Let's make sure you use the right-size ball. Here are a couple of pointers: • When purchasing a ball, there are two basic sizes to check out: 55cc (centimeters) and 65cc; 55 is for shorter legs and 65 for longer legs. Keep your receipt; a lot of times, the ball doesn't quite measure up to the labeling. • Fill up the ball until it is firm, but still has a little give when you sit on it. • Clear the area you will be working in. Move your- self away from the wall and any furniture. Move any floor items out of the way. Wear no-slip shoes (pref- erably tennies) and make sure the floor is dry or the carpet is secure. • Sit on the ball and place your feet securely on the ground in front of you, with your feet lined up under your knees and under your hips. Your tush should be at the same height or a little higher than your knees. If this is not the case, add or remove some air. If you are still not comfortable, return it and try another size or a different manu- facturer. • Now you are ready to give the ball a try! Here is a basic balance exer- cise to get you started on the ball. Position yourself as stated above. Focus on a spot at eye level. Lift one foot a few inches off the ground. Keep your other foot on the ground. Use your core muscles to help your balance. Be safe and put your foot down when you become unstable. Switch feet. Remember, the ball gives an advantage over other exercise options because you are sitting on an unstable surface. Although both feet are on the ground, you have to using your core muscles to keep you stable on that ball. So, for a great "Get Started Warm- Up" on the ball and to find out my surprisingly simple super move for increasing flexibility throughout the core, send me an e-mail at: mblackfitness@yahoo.com . Remember, the ball gives an advantage over other exercise options because you are sitting on an unstable surface. ❑ Michelle Black is an American Council on Exercise-certified personal trainer and exercise instructor who has worked with the Oak Park JCC for 10 years. She teaches three ball classes at that JCC. She trains individuals all over the Detroit area. Michelle specializes in senior/ elderly exercise, post-rehab, and family fitness. October 28 • 2010 53